DARREN B LYLE MD
NPI 1427019058
Emergency Medicine in Leitchfield, KY

NPI Status: Active since March 31, 2006

Contact Information

910 WALLACE AVE
LEITCHFIELD, KY
ZIP 42754
Phone: (270) 259-1656
Fax: (270) 259-9536

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  • Individual
  • Male
  • Years of Experience 35
  • Emergency Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About DARREN LYLE

This page provides the complete NPI Profile along with additional information for Darren Lyle, a provider established in Leitchfield, Kentucky with a medical specialization in Emergency Medicine and more than 35 years of experience. He graduated from Indiana University School Of Medicine in 1991. The healthcare provider is registered in the NPI registry with number 1427019058 assigned on March 2006. The practitioner's primary taxonomy code is 207P00000X with license number 28818 (KY). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1427019058
Provider Name
DARREN B LYLE MD
Gender
Male
Entity Type
Individual
Location Address
910 WALLACE AVE LEITCHFIELD, KY 42754
Location Phone
(270) 259-1656
Location Fax
(270) 259-9536
Mailing Address
910 WALLACE AVE LEITCHFIELD, KY 42754
Mailing Phone
(270) 259-1656
Mailing Fax
(270) 259-9536
Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1991
Is Sole Proprietor?
No
Enumeration Date
03-31-2006
Last Update Date
10-23-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
28818
License State
KY
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2434821000OTHER (01)KYPASSPORT ADVANTAGE
64288186MEDICAID (05)KY 
1069834OTHER (01)KYPASSPORT HEALTH PLAN
03317858MEDICARE PIN (08)KY 
1069834OTHER (01)KYPASSPORT
F32401MEDICARE UPIN (02)KY 
3317858MEDICARE PIN (08)KY 

Medicare Participation & PECOS Enrollment Status

Darren Lyle is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Darren Lyle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6901994425

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200311001394

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

This service was performed 16 times for 16 patients

Automated urinalysis test

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

This service was performed 11 times for 11 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 20 times for 19 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 23 times for 16 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 20 times for 20 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 29 times for 29 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.56 for a new patient copayment and $23.48 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 42754 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.24
  • Minimum New Patient Price $52.76
  • Maximum New Patient Price $162.27
  • Average New Patient Copayment $20.56
  • Minimum New Patient Copayment $13.19
  • Maximum New Patient Copayment $40.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.94
  • Minimum Established Patient Price $16.53
  • Maximum Established Patient Price $131.99
  • Average Established Patient Copayment $23.48
  • Minimum Established Patient Copayment $4.13
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Implementation of an ASPYesN/A
Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance
Implementation of formal quality improvement methods, practice changes, or other practice improvement processesYesN/A
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427019058
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24470118010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 1 + 1 + 8 + 0 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1427019058 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538162268DR. JOSEPH C PETROCELLI MD
Individual
Surgery910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-3035
1437152923GRAYSON COUNTY HOSPITAL FOUNDATION INC
Organization
Emergency Medicine910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9400
1023010303GRAYSON COUNTY HOSPITAL FOUNDATION INC
Organization
Medicare Defined Swing Bed Unit910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9400
1275537029 GARY E YOCHIM DO
Individual
Obstetrics & Gynecology910 WALLACE AVE STE 301
LEITCHFIELD, KY 42754
(270) 259-9651
1114926854GRAYSON COUNTY HOSPITAL FOUNDATION INC.
Organization
Home Health910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9525
1811964091 NOYE ROWGENA CAIN APRN
Individual
Nurse Practitioner910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-2714
1295790004 PHILLIP W TURNER MD
Individual
Emergency Medicine910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9400
1922066695 DALE L. BRUNS MD
Individual
Emergency Medicine910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-1656
1043261902 GREGORY GORDON SKAGGS MD
Individual
Internal Medicine910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9651
1487767828GRAYSON COUNTY HOSPITAL FOUNDATION INC
Organization
Clinical Medical Laboratory910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9400
1134235419DR. ERIC C BROWN MD
Individual
Emergency Medicine910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9400
1811061534 KRISTY M BRATCHER RD
Individual
Dietitian, Registered910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-6400
1285858456 JUDY CAROL SMITH MS, CCC-SLP
Individual
Speech-Language Pathologist910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-1657
1346573334HOSPITAL CARE CONSULTANTS OF LEITCHFIELD
Organization
Hospitalist910 WALLACE AVE SUITE 908
LEITCHFIELD, KY 42754
(270) 259-9400
1518224336 KIRSTEN SIZEMORE NP
Individual
Nurse Practitioner910 WALLACE AVE
LEITCHFIELD, KY 42754
(800) 893-9698
1114249554 KAITLIN HARRISON RD
Individual
Dietitian, Registered910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9400
1477944544 SARAH WARD
Individual
Speech-Language Pathologist910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9469
1104217272 LAURA LUCAS
Individual
Occupational Therapist910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9469
1750766077 CHERI MOLLOY RD
Individual
Dietitian, Registered910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9505
1518126994MR. BENJAMIN WAYNE WILLIAMS P.A.
Individual
Physician Assistant910 WALLACE AVE
LEITCHFIELD, KY 42754
(270) 259-9500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427019058, enumerated in the NPI registry as an "individual" on March 31, 2006

The provider is located at 910 Wallace Ave Leitchfield, Ky 42754 and the phone number is (270) 259-1656

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider has more than 35 years of experience. He graduated from Indiana University School Of Medicine in 1991.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $82.24 with an average copayment of $20.56 for new patient appointments. Established patients should expect a typical charge of $93.94 and an average copayment of 23.48. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, Automated urinalysis test, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 30-44 minutes and New patient office or other outpatient visit, 45-59 minutes.

This NPI record was last updated on March 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.